texas medicaid and health partnership

Well, the answer to that question is about to be answered shortly. TDMR was contacted today by none other than Dr. Paul Dunn, the long-suffering dentist from Levelland who thought his troubles with Medicaid were over when he settled his … Read More

The state is suing Xerox for a second time, afraid the company’s recent actions in withholding a large number of documents relating to its tenure as the state’s primary Medicaid claims administrator will lead to millions of dollars of federal … Read More

A federal auditor has laid responsibility for hundreds of millions of dollars spent on dental and orthodontic procedures that may have been medically unnecessary squarely on the state agency that oversaw the program. The Texas Health and Human Services Commission … Read More

Last Wednesday, the Department of Health and Human Services, Office of Inspector General released the results of its long anticipated audit of Texas Medicaid orthodontic spending. The feds conducted the audit because Texas Medicaid payments for orthodontic services rose from … Read More

Last week Xerox filed a response to both the lawsuit filed by the State of Texas and its dentist intervenors about Xerox’s allegedly deficient Medicaid orthodontic prior authorization process that led to $1.1 billion in program spending without proper review. … Read More

Yesterday, HHS-OIG issued an audit entitled “Acute-Care Hospitals In Texas Did Not Always Reconcile Invoice Records With Credit Balances And Refund To The State Agency The Associated Medicaid Overpayments.” The federal auditors, in looking over eight acute care hospitals in Texas, … Read More

Several suits by Medicaid providers filed today in Travis County’s 53rd Civil District Court seek to intervene in the recent lawsuit brought by the state of Texas against former state Medicaid claims contractor, ACS/Xerox (henceforth “Xerox”). Recover damages from both … Read More

The New York Times has published Trib reporter Becca Aaronson’s article on TMHP. For nearly five years, a state contractor allowed workers with limited expertise to approve dental claims for Texas’ Medicaid program, the joint state-federal insurer. State spending on … Read More

The Washington Times reported yesterday that ACS/Xerox is being sued in a class action by Nevada residents who purchased health insurance from the state health insurance exchange that was set up by the company. The state government contracted with ACS/Xerox … Read More

Private contractors should be held to the same accountability as the agencies that contract them, says University of Baltimore law professor Kimberly Brown. “From Abu Ghraib to Blackwater, a string of scandals has heightened public awareness that highly sensitive federal … Read More

Antoine Dental Center of Houston, Harlingen Family Dentistry of Harlingen, M&M Orthodontics of San Antonio and Dr. Paul Dunn of Levelland filed suit this past Monday against ACS, Affiliated Computer Services, the state’s private contractor which handles claims administration for … Read More

DALLAS (CN) – A healthcare administrator delayed thousands of orthodontic approvals under Medicaid by employing just one dentist to review Texas applications, such disastrous understaffing that dentists – but not the private company – were accused of fraud for working … Read More

A long time dental Medicaid provider recently sent to TDMR an old article that was written in the March/April 2005 edition of the Texas Medicaid Bulletin. It is interesting because both the Texas Medicaid and Health Partnership (TMHP) and the … Read More

After a 40-year career, Dr. Paul Dunn is now on the verge of bankruptcy because he helped Medicaid children. In 2012, HHSC-OIG placed Dunn’s practice in Levelland under a 100% “credible allegation of fraud” payment hold for his orthodontic Medicaid … Read More

Kennard Law, P.C. based in Houston, Texas and with offices in San Antonio, El Paso, and the Rio Grande Valley, has filed suit against ACS/Xerox for unpaid overtime wages. The firm, which specializes in employment law, filed the suit on … Read More

Xerox is the parent company of the Texas Medicaid and Health Partnership/ACS which was responsible for approving all Medicaid expenditures including orthodontia up until last year. AUSTIN — Texas has signed a 5-year, approximately $100 million contract with Xerox to … Read More

The 2008 Texas Medicaid Healthcare Partnership Prior Authorization Audit by the Office of the Inspector General HHSC placed on website to highlight that Texas authorities knew about private contractor’s deficiencies for years but did nothing Austin, Tx (PRWEB) February 27, … Read More